Healthcare Provider Details

I. General information

NPI: 1245052802
Provider Name (Legal Business Name): VCVG HARRIS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2024
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1013 SHIRE CT
FAIRFIELD CA
94533-7720
US

IV. Provider business mailing address

1013 SHIRE CT
FAIRFIELD CA
94533-7720
US

V. Phone/Fax

Practice location:
  • Phone: 707-208-0892
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VINCENT M HARRIS
Title or Position: FRANCHISE OWNER
Credential:
Phone: 707-208-0892